10D0974607 CLIA NUMBER - MARK G BROOKS MD PA

Laboratory Demographics

  • CLIA Code: 10D0974607
  • Facility Name: MARK G BROOKS MD PA
  • Facility Address: 10000 W COLONIAL DR STE 180
    OCOEE, FL
    ZIP 34761
  • Facility Phone: 407 578-6610
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK G. BROOKS
  • NPI Number: 1306927249
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0974607
LAB Type Physician Office
Facility Name MARK G BROOKS MD PA
Street 10000 W COLONIAL DR STE 180
City OCOEE
State FL
ZIP 34761
Phone 407 578-6610
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/12/2024
Certificate Expiration Date 6/11/2026
Facility Type Physician Office
Lab Director MARK G. BROOKS

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This page was last updated on: 9/29/2025